Provider Demographics
NPI:1881331155
Name:HUBBARD, LINDA SHECOLE (LMHC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:SHECOLE
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15403 TURKOMAN CIR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32218-7986
Mailing Address - Country:US
Mailing Address - Phone:904-238-9014
Mailing Address - Fax:
Practice Address - Street 1:15403 TURKOMAN CIR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-7986
Practice Address - Country:US
Practice Address - Phone:904-238-9014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-17
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH20749101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health